Individual
PHILLIP NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1280 S VICTORIA AVENUE, SUITE # 250, VENTURA, CA 93003-6521
(805) 351-0745
(805) 288-6744
Mailing address
1280 S VICTORIA AVENUE, SUITE # 250, VENTURA, CA 93003-6521
(805) 351-0745
(805) 288-6744
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
A173034
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A173034
CA
Other
Enumeration date
03/28/2016
Last updated
07/21/2022
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